Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amenti Theophilos

Individual provider Mental Health Counselor · NPI 1275480451

Amenti Theophilos is a Mental Health Counselor in Lakeville, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

20855 Kensington Blvd
Lakeville, MN 55044-7542
Phone: (507) 291-2662
Fax: (507) 205-2885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1275480451
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 16, 2026
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026
Mailing address600 E 131st St, Burnsville, MN 55337-3804

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